Healthcare Provider Details

I. General information

NPI: 1528974375
Provider Name (Legal Business Name): ANCHOR POINT COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4836 MAIN ST
MOSS POINT MS
39563-2700
US

IV. Provider business mailing address

PO BOX 2555
PASCAGOULA MS
39569-2555
US

V. Phone/Fax

Practice location:
  • Phone: 601-207-3928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRYSTA B GARDNER
Title or Position: LICENSED INDEPENDENT SOCIAL WORKER
Credential: LICSW
Phone: 601-207-3928